Volume 5, Issue 2 (Spring 2019)                   JCCNC 2019, 5(2): 113-122 | Back to browse issues page


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Seyedi H, Mohebbifar R, Rafiei S. Quality Management System and its Role in the Quality Maturity of Training Hospitals. JCCNC 2019; 5 (2) :113-122
URL: http://jccnc.iums.ac.ir/article-1-218-en.html
1- Student Research Center, School of Health, Qazvin University of Medical Sciences,Qazvin, Iran.
2- Department of Health care Management, School of Health, Qazvin University of Medical Sciences, Qazvin, Iran.
3- Social Determinants of Health Research Center, School of Health, Qazvin University of Medical Sciences, Qazvin, Iran. , sima.rafie@gmail.com
Abstract:   (2374 Views)
Background: Recent trends have led many organizations to use strategic planning for designing and implementing Total Quality Management (TQM) as a fundamental necessity. This study investigated the role of TQM in the quality maturity of hospitals from the employees’ point of view. 
Methods: A cross-sectional study was conducted among the senior managers and officials of three Zanjan University of Medical Sciences (ZUMS) training hospital wards, including supervisors, matrons, and all hospital committee members. All the managers who were willing to participate and met the inclusion criteria were recruited. Two questionnaires, including TQM Assessment and Quality Maturity of Hospital Services were used. Statistical analyses were conducted by SPSS through multivariable regression modeling. 
Results: The obtained results affirmed a significant effect of TQM on the quality improvement of hospital services; a unit of increase in the mentioned variable resulted in 0.63 unit of change in quality maturity (P<0.05). Furthermore, among the different aspects of the quality management system, the most significant impact on quality maturity belonged to having a system-wide approach toward management (β=0.342).
Conclusion: To improve the quality of hospital services, it is necessary to promote managers and employees’ commitment toward the necessity of effectively implementing quality improvement programs. Establishing a process management approach, developing a culture of continuous improvement, adopting a systematic approach to control managerial issues, and encouraging employees to participate in quality improvement goals are necessary in this regard. 
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● Adopting TQM is an effective approach in providing high-quality services by both individual and institutional providers.
● A new approach which has been taken into consideration for delivering quality services in hospitals is a called quality maturity.
● To achieve quality maturity, managers should be committed to TQM in a participative organizational environment using the potential collaboration of different parties, including managers, employees, patients, and suppliers.
Plain Language Summary 
In Iran, there are limited research studies on quality maturity in healthcare centers; thus, hospital managers can contribute in such scientific area and provide evidence-based data to discover a set of factors which play an essential role in institutionalizing the quality maturity as a managerial necessity. According to the collected results, TQM affects the quality improvement of hospital services; any increase in TQM leads to changes in quality maturity. Furthermore, among the different aspects of quality management system, the greatest impact on quality maturity was related to having a system-wide approach toward management. 

Type of Study: Research | Subject: General
Received: 2018/12/5 | Accepted: 2019/03/10 | Published: 2019/05/1

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